Marital Status:
Single
Married
Divorced
Too long a story for this spaceNumber of Children: Boy(s)
Girl(s)
Partner's Name:

Please check the course you would like to receive:
Psychic Counselors Course (Courses coming soon: Dream Interpretation Homestudy
Course, and How To Become A Professional Tarot Reader)

Half price discount is also granted for members of the same
household. The first person pays full tuition and the
second person pays half price if both apply at the same time.

Please enter your name exactly as you want it to appear on your
Training Certificate.

Do you pledge to use your Counselor/Reader Status for the Service
of Humanity?

Member Profile

The following questions are somewhat optional,
but we encourage you to answer them because they help us build
a picture of you and what has made you the person you are. Souls
appear and re-appear in "families" or "soul groups". They often
follow family bloodlines, you ARE your ancestors. Past lives
are sometimes hard to believe in, but genetic memory is very
real. The things you are drawn to in life, flashbacks, and deja
vu are your genetic memory nagging you. We can better help you
get where you're going if we have a complete profile of you
and your ancestral background.

What religion
were you raised on?

Do you still practice its ways?

Fully
Somewhat

Seldom
Never

How does your immediate family feel about
your chosen spiritual path? Opposition? Approval?

Please check any of the following areas you have studied or
"dabbled" in: {You can skip this section
if you have already filled in these questions on the Ordained
Minister's Application.}

Kabbalah

Esoteric Christianity

Runes

Rosicrucians

Gnosticism

Wicca or Earthbased Trads

Angels

Asatru/Heathenism

Buddhism

Ceremonial Magick

Tarot

Enochian

Goddess

Apocalyptic/ Prophecy studies

Druidry

Vedanta

Other areas of study not listed above:

Please indicate those that you are most
interested in learning more about:

More about you

Your occupation,

Special Skills,

Hobbies, etc.?

How did you hear about us?

New Age Journal

Link from TheDreamZone.com

A friend told/emailed me

Discussion List

Link from any other website

Search Engine Query

Heard Dr. Katia on a Radio Show

Any other source: (please explain)

Payment information:

If you are petitioning for an Ordination at this time, the Ordination
fee is reduced to $75.

Please check the box next to the
items you are ordering.

Psychic Counselors Course

Check this box only if you want Rush shipping. Cost varies,
depending on where you are.